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Physiologic Considerations in Trauma Patients Undergoing Resuscitative Endovascular Balloon Occlusion of the Aorta

Qasim, Zaffer A. MBBS, FRCEM, FRCPC, EDIC*; Sikorski, Robert A. MD

doi: 10.1213/ANE.0000000000002215
Trauma: Special Article

Resuscitative endovascular balloon occlusion of the aorta is a new procedure for adjunctive management of critically injured patients with noncompressible torso or pelvic hemorrhage who are in refractory hemorrhagic shock, ie, bleeding to death. The anesthesiologist plays a critical role in management of these patients, from initial evaluation in the trauma bay to definitive care in the operating room and the critical care unit. A comprehensive understanding of the effects of resuscitative endovascular balloon occlusion of the aorta is essential to making it an effective component of hemostatic resuscitation.

Supplemental Digital Content is available in the text.Published ahead of print June 20, 2017.

From the *Department of Emergency Medicine, Christiana Care Health System, Newark, Delaware; and Department of Anesthesiology, R Adams Cowley Shock Trauma Center, University of Maryland Medical Center, Baltimore, Maryland.

Published ahead of print June 20, 2017.

Accepted for publication April 14, 2017.

Funding: None.

The authors declare no conflicts of interest.

Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal’s website.

Reprints will not be available from the authors.

Address correspondence to Zaffer A. Qasim, MBBS, FRCEM, FRCPC, EDIC, Department of Emergency Medicine, 4755 Ogletown-Stanton Rd, Newark, DE 19711. Address e-mail to

© 2017 International Anesthesia Research Society
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